Active NPI
Marie E Benvenuti
- Chore Provider
- Shelby TWP, MI
National Provider Identifier
1306676945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 4200 W Utica Rd
Shelby TWP, MI 48317-4766 - Phone
- (586) 262-4534
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
4200 W Utica Rd
Shelby TWP, MI 48317-4766
Mailing address
54781 Flamingo Dr
Shelby Township, MI 48315-1347
Phone (586) 677-0465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1306676945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54781 FLAMINGO DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483151347",
"telephone_number": "586-677-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W UTICA RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483174766",
"telephone_number": "586-262-4534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENVENUTI",
"first_name": "MARIE",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.